Organization Active NPI

Keahi Health Acupuncture & Herbal Clinic

  • Acupuncturist
  • Lake Oswego, OR
National Provider Identifier
1255626552
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
150426 Issued in OR
Legal business name
KEAHI HEALTH ACUPUNCTURE & HERBAL CLINIC
Practice address
14511 Westlake Dr Ste 100
Lake Oswego, OR 97035-7727
Phone
(971) 998-7781
Fax
(503) 598-3980
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Karly Andrea Keahi Bannister, L.AC.
Title
Acupuncturist
Phone
(971) 998-7781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 150426 OR Primary

Addresses

Primary practice location

14511 Westlake Dr Ste 100
Lake Oswego, OR 97035-7727

Mailing address

14511 Westlake Dr Ste 100
Lake Oswego, OR 97035-7727
Phone (971) 998-7781

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1255626552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14511 WESTLAKE DR STE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357727",
            "telephone_number": "971-998-7781",
            "fax_number": "503-598-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 WESTLAKE DR STE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357727",
            "telephone_number": "971-998-7781",
            "fax_number": "503-598-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAHI HEALTH ACUPUNCTURE & HERBAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "KARLY",
        "authorized_official_middle_name": "ANDREA KEAHI",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "971-998-7781",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "150426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.